person
Dr. Michelle Elaine Gordon, DO
Specialist in Putnam Valley, New York
NPI 1295770907

Michelle Elaine Gordon is a Specialist based in Putnam Valley, NY. Michelle Elaine Gordon practices in Putnam Valley, NY and has the professional credentials of DO. The NPI Number for Michelle Elaine Gordon is 1295770907 and holds a License No. 236050-1 (New York).

The current practice location address for Michelle Elaine Gordon is 11 Peekskill Hollow Rd # 97, Putnam Valley, NY and can be reached out via phone at 845-526-2080 and via fax at 845-526-2082.

Location: 11 Peekskill Hollow Rd # 97, Putnam Valley, NY, 10579-0097
person
Provider Profile Details
NPI Number
1295770907
Provider Name
Michelle Elaine Gordon
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
11 Peekskill Hollow Rd # 97, Putnam Valley, NY, 10579-0097
Phone Number
845-526-2080
Fax Number
845-526-2082
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4879H1 01 NY MEDICARE PETAN
2682460 05 NY
institution
Provider Business Practice Location Address Details
Address
11 Peekskill Hollow Rd # 97
City
State
Zip
10579-3200
Phone Number
845-526-2080
Fax Number
845-526-2082
person
Provider Business Mailing Address Details
Address
11 Peekskill Hollow Rd # 97
City
State
Zip
10579-3200
Phone Number
845-526-2080
Fax Number
845-526-2082
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
236050-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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